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General NPI Number Information
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NPI Number | 1184835613
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Entity Type | Individual
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Provider Name | EVAN FREEDMAN DO
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 14520 W GRANITE VALLEY DR STE 120
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-5855
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Country | US
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Telephone | 866-974-2673
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Fax | 866-939-2673
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Provider Business Mailing Address
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Address Line | 18444 N 25TH AVE STE 310
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City | PHOENIX
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State | AZ
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Zip | 85023-1266
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Country | US
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Telephone | 866-974-2673
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Fax | 866-939-2673
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 005906
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 005906
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 005906
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 005906
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License Number State | AZ
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